16th annual
Proceeds benefit children with cancer living in Central Minnesota.
Join us at Pebble Creek Golf Club in Becker, MN
4 Person Best Ball Scramble
Date: Monday, September 11, 2017
Tee Time Registration: 10:00am
Shotgun Start: 11:00am
Sandwiches and beverages will be served on the course.
Raffle/Silent Auction: 4:00-6:30pm
Cash or check only - no credit cards accepted
Social & Food: 4:00-6:30pm
Program: 6:00pm
NEW This year. . .
All raffle tickets will be sold at the event - no presold tickets!
Sponsorship Level:
❑ $10,000 Platinum Sponsor*
❑ $7,500 Gold Sponsor*
❑ $3,000 Silver Sponsor (Team of 4 Golfers)*
❑ $750 Individual
*Includes recognition as hole sponsor
REGISTRATION FORM
Please register early!
Event
Sells
First come. First serve!
Out
So...
In order to be registered for this tournament
your form and payment MUST be directed to:
Coborn’s Family Foundation
1921 Coborn Blvd
St. Cloud, MN 56301
[email protected]
Questions: 320-203-6240
Contact Person____________________________________
Organization_____________________________________
Address_________________________________________
City/State/Zip___________________________________
Phone__________________________________________
*Email Address (required)____________________________
Team (Foursome)
1) Golfer___________________________________________
Organization______________________________________
*Email contact for your team (required)
________________________________________________
2) Golfer___________________________________________
Organization______________________________________
❑ I cannot attend, but please accept my charitable gift of
$__________.
3) Golfer___________________________________________
Organization______________________________________
$__________ Total Payment
4) Golfer___________________________________________
Organization______________________________________
❑ Check enclosed
Make check payable to: Coborn’s Family Foundation
❑ Credit Card
Name on card_______________________________
Number___________________________________
Code
Expiration Date_____________________________
❑ Visa
Signature__________________________________
Security
Do you need to rent golf clubs?
Please note number of sets required.
Right hand____ Left hand____
Registration Deadline: August 11, 2017
❑ Mastercard ❑ Discover ❑ American
Express
❑ Other_____________________________________
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